Nurse Practitioner; NP or Physician Assistant; PA -CSICU- MGH

Position Overview

This position is: 40hrs, 3-13hr shifts, D/N rotation, weekend/holiday requirement.

Under general supervision and direction of the Cardiac Surgeons and Heart Center Intensivists, and in accordance with the rules and regulations of Massachusetts governing Nurse Practitioner or Physician Assistant practice, the Advanced Practice Provider (APP) will be responsible for the care of patients on the Cardiac Surgical Service, primarily those patients that are admitted to the Cardiac Surgery/Heart Center Intensive Care Unit.

• The APP will participate in daily rounds with nurses, other Advanced Practice staff, Intensivists, residents, and multidisciplinary caregivers; perform bedside diagnostic and therapeutic procedures, participate in the development and implementation of care plans, coordinate tests and consultations, implement treatment plans, communicate with referring physicians, perform patient education, and prepare patients for discharge, all while keeping Surgeons and Intensivists updated as required.
• The APP maintains open lines of communication between Cardiac Surgeons, Residents, Fellows, PAs, Nursing Staff, Cardiologists, Heart Failure team, Intensivists, and patients/families. Promotes a collaborative relationship and effort between the medical staff and professional nurses toward continuity of patient care and efficient use of resources. Serves as a role model for professional APP practice.

• Provides direct care, counseling, and teaching to patient population in the cardiac surgery department.
• Assists surgeons in the operating room, performing technical clinical procedures, performs complete histories and physical examinations.
• Orders, interprets, and evaluates appropriate laboratory and diagnostic tests.
• Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings.
• Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
• Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries.
• Performs bedside procedures as are appropriate to the patient population.

Required Skills:

• Advanced knowledge of reading ECG, Radiology, and Laboratory data.
• Basic understanding of ventilators, PA catheters, Mechanical Circulatory Support devices, and vasoactive medications.
• Ability to function in a high intensity, complex unit within a multidisciplinary team.
• Strong communication skills.

Required Experience:

• Minimum 2 years of ICU experience, preferably Cardiac ICU.
• Candidates with related experience (Trauma/ED, Inpatient Cardiology, Heart Failure practice) will be considered.

Master's Degree Nursing or Physician Assistant required. Can this role accept experience in lieu of a degree? No.

• Registered Nurse (RN – MA License)
• Advanced Practice Registered Nurse (APRN) – MA License or
• Physician Assistant – MA License

Experience as a Nurse Practitioner or Physician Assistant in Cardiac Surgery preferred.

• Thorough knowledge of clinical surgical practices and procedures for cardiothoracic patients.
• Skilled in taking medical histories to assess medical condition and interpret findings.
• Ability to maintain quality control standards.
• Ability to react calmly and effectively in emergency situations.
• Ability to interpret, adapt and apply guidelines and procedures.
• Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public.

The General Hospital Corporation is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.